Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $2,918.51 / $9,691.00	Facility		$1,159.00	$2,918.51	$9,691.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,498.31 / $1,784.69 / $2,822.04	Professional		$1,498.31	$1,784.69	$2,822.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,898.80 / $16,895.84 / $33,833.91	Facility		$7,898.80	$16,895.84	$33,833.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $875.00 / $908.00	Facility		$875.00	$875.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,581.82 / $2,164.69 / $3,530.54	Professional		$1,581.82	$2,164.69	$3,530.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,521.09 / $2,363.59 / $5,939.55	Professional		$1,521.09	$2,363.59	$5,939.55
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,621.56 / $1,862.22 / $2,080.87	Professional		$1,621.56	$1,862.22	$2,080.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,352.98	Professional		$32.34	$32.34	$2,352.98
United Facility/Professional Facility Modifier Low / Median / High Price $578.00 / $2,873.00 / $7,384.00	Facility		$578.00	$2,873.00	$7,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,520.09 / $2,248.88 / $3,657.34	Professional		$1,520.09	$2,248.88	$3,657.34